Diagnosis-Based Risk Adjustment for Medicare Capitation Payments

Using 1991-92 data for a 5-percent Medicare sample, we develop, estimate, and evaluate risk-adjustment models that utilize diagnostic information from both inpatient and ambulatory claims to adjust payments for aged and disabled Medicare enrollees. Hierarchical coexisting conditions (HCC) models ach...

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Hlavní autoři: Ellis, Randall P., Pope, Gregory C., Iezzoni, Lisa I., Ayanian, John Z., Bates, David W., Burstin, Helen, Ash, Arlene S.
Médium: Artigo
Jazyk:Inglês
Vydáno: CENTERS for MEDICARE & MEDICAID SERVICES 1996
Témata:
Managed Care: Advances in Financing
On-line přístup:https://ncbi.nlm.nih.gov/pmc/articles/PMC4193604/
https://ncbi.nlm.nih.gov/pubmed/10172666
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